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Washington rates for HCPCS K0859

Power wheelchair, group 3 heavy-duty, single power option, captain's chair, patient weight capacity 301 to 450 pounds

Rates data updated July 2026.

How much does HCPCS K0859 cost?

$6,026

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $6,026 for this service. The price depends on where it is billed: about $6,026 from a physician practice, and about $3,162 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6,026$6,026 to $7,244
FacilityA hospital or hospital-owned outpatient department$3,162$1,175 to $6,761

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,072 to $6,761Professionalmedian $6,026 · 10th to 90th $1,072 to $10,715
$500$1K$2K$5K$10Kfacility $3,162professional $6,026

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$7,244.36
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$10,471.29
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$12,302.69
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$7,413.10
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$6,606.93
Typical High
$7,943.28
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$6,760.83
Typical High
$6,760.83
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$6,760.83
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,071.52
Typical High
$10,715.19
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$2,137.96
Typical High
$10,715.19
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$12,302.69
Typical High
$13,489.63
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$812.83
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,388.44
Typical High
$6,606.93

Where Washington sits

The same service costs 2.5 times more in Minnesota than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington· 39th of 51

$6,026

MN $11,482UT $4,571

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.